Influence of perioperative blood glucose level on postoperative acute kidney injury and rehabilitation in diabetic patients undergoing coronary artery bypass grafting
10.3969/j.issn.1006-6187.2025.03.005
- VernacularTitle:2型糖尿病合并冠心病患者行冠脉搭桥术围手术期血糖水平对术后急性肾损伤及康复影响的研究
- Author:
Wenwen YUAN
1
;
Dong ZHAO
;
Jun PANG
;
Changhong LU
Author Information
1. 266000 青岛阜外心血管病医院心内科
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
Coronary heart disease;
Diabetes mellitus;
Acute kidney injury;
Perioperative period;
Blood glucose;
Rehabilitation
- From:
Chinese Journal of Diabetes
2025;33(3):184-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of perioperative blood glucose(BG)levels on postoperative acute kidney injury(AKI)and rehabilitation in diabetic patients with coronary heart disease after coronary artery bypass grafting(CABG).Methods Randomly select data from 142 patients who underwent CABG treatment at The Fuwai Cardiovascular Hospital in Qingdao from January to December 2022,and compare the BG indicators,AKI incidence,cardiac function improvement and quality of life between good control group(n=57)and poor control group(n=85).Results The operation time,ventilator use time,postoperative ICU time,hospital stay time and various BG indexes in the good control group were significantly lower than those in the poor control group(P<0.05 or P<0.01).27 patients(19.01%)developed AKI after surgery,and the incidence of AKI in the good control group was significantly lower than that in the poor control group(10.53%vs 24.71%,P<0.05).After treatment,the cardiac function indexes in both groups were significantly improved compared with those before surgery,and the good control had significantly better cardiac function and quality of life than the poor control(P<0.05).Conclusions The incidence of AKI after CABG in patients with diabetes and coronary heart disease was 19.01%.Good perioperative BG level control can reduce the risk of postoperative AKI and help early postoperative recovery.
